American Search & Settlement Company

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Please provide AS MUCH information as possible to expedite order. Press tab or use your mouse to move between fields. Pressing enter will submit your order.

Contact Information:

Your Name:

Company Name:

Phone:

Email:

Fax:

Address:

 

Transaction Type

Purchase
 

Property Use

If other please specify:

 

Property Type

If other please specify:

 

Property Address:

City:

State:

Pennsylvania

Zip:

 

County:

Tax Parcel #:

 

Settlement Date:
(MM/DD/YY)

 
Sale Price:
 $
 
Deposit Amount:
 $
 
Seller Credits:
 $
  

Seller Info.

Name:

Soc. Sec. #:
must be ###-##-#### format

Day Phone:
must be ###-###-#### format

Home Phone:
must be ###-###-#### format

Address:

City, State, Zip:

 

Name:

Soc. Sec. #:
must be ###-##-#### format

Day Phone:
must be ###-###-#### format

 

Payoff Info:

Mortgage Co.:

Customer Service #:

Loan #:

 

Mortgage Co.:

Customer Service #:

Loan #:

 

Mortgage Co.:

Customer Service #:

Loan #:

 

Water & Sewer

Water Co. Name:

Phone:
must be ###-###-#### format

Sewer Co. Name:

Phone:
must be ###-###-#### format

 
Seller's Additional Contacts or Representatives:
Real Estate Agent:
Will the Seller's Agent be doing conveyancing?  Yes    No

Name:

Company Name:

Phone:
must be ###-###-#### format

Fax:
must be ###-###-#### format

 

Seller's Attorney:

Name:

Company Name:

Phone:
must be ###-###-#### format

Fax:
must be ###-###-#### format

 

Buyer/Borrower Info.

Name:

Social Security #:
must be ###-##-#### format

Day Phone:
must be ###-###-#### format

Home Phone:
must be ###-###-#### format

Address:

City, State, Zip:

 

Name:

Social Security #:
must be ###-##-#### format:

Day Phone:
must be ###-###-#### format

   

Lender Info.

Contact Name:

Company Name:

Phone:
must be ###-###-#### format

Fax:
must be ###-###-#### format

Address for CPL:

City, State, Zip:

Loan Amount:

$

 

Buyer's Additional Contacts or Representatives:
Real Estate Agent:

Name:

Company Name:

Phone:
must be ###-###-#### format

Fax:
must be ###-###-#### format

 

Buyer's Attorney:

Name:

Company Name:

Phone:
must be ###-###-#### format

Fax:
must be ###-###-#### format

 

Mortgage Broker:

Name:

Company Name:

Phone:
must be ###-###-#### format

Fax:
must be ###-###-#### format

 

Other Information/Requests

    

Please fax a copy of the fully signed Agreement of Sale, if applicable, to 215-348-9817.  Thank you for your business.  Please call 215-348-9816 if you have any questions.

DO NOT PRESS SUBMIT UNTIL YOU HAVE CHECKED YOUR ORDER FOR ACCURACY! Thank you.

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